Bilingual Case Management Nurse

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and coordinate healthcare services to deliver comprehensive, patient-focused care.

• Evaluate patients’ medical requirements and create tailored care plans.

• Advocate for patients’ rights, choices, and access to suitable services.

• Track patient progress, adherence to care plans, and the effectiveness of interventions.

• Modify interventions as needed.

• Accurately and promptly document assessments, care plans, and outcomes.

• Prepare reports on patient conditions, care results, and resource usage.

• Educate patients regarding medications, treatment strategies, and self-care techniques.

• Offer emotional support and counseling to both patients and their families.

• Encourage preventive care and wellness through health education and lifestyle advice.

• Ensure compliance with URAC standards, CMSA Standards of Practice, relevant regulations, and Valenz policies.

• Collaborate with internal teams to uncover opportunities for health plan coverage savings.

• Perform additional responsibilities as assigned.

• Work remotely utilizing company-provided equipment while maintaining a secure workspace and compliant technological environment.

⛳️ Requirements

• Current, unrestricted Registered Nurse (RN) license in the state of residence.

• Compact License (NLC) accepted for those residing in a compact state.

• A minimum of 3 years nursing experience in an acute care environment.

• Capability to thrive in a deadline-oriented setting.

• Strong attention to detail and excellent organizational abilities.

• Critical thinking skills and sound judgment in complex scenarios.

• Ability to escalate issues appropriately when necessary.

• Exceptional communication and interpersonal skills.

• Collaborative mindset in care coordination.

• Reliable internet connection is essential.

• A quiet workspace that is free from distractions.

• Compliance with company security protocols, including VPN usage, secure passwords, and company-approved devices/software.

• Must be based in the US and located in an area where work can be conducted effectively in line with company policies such as HIPAA.

• Availability to work until at least 4:00 PM Pacific Time.

• Experience in case management is preferred.

• Bilingual proficiency in Spanish is advantageous.

• Relevant certifications such as Certified Case Manager (CCM) or Chronic Care Professional (CCP) are a plus.

• Willingness to obtain CCM certification within 18 months of employment is favorable.

🏝️ Benefits

• Competitive compensation aligned with experience and performance.

• Comprehensive benefits package with substantial employer contributions.

• Flexible and remote work options available.

• 401k plan with generous employer matching and immediate vesting.

• Opportunities for personal and professional growth.

• Supportive family benefits, including paid leave for new family members.

• Companywide philanthropic program, Valenz Communities Connection.

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance.

• Access to services via Healthcare Blue Book and KISx Card.

• Options for HSA, FSA, and DCFSA spending accounts.

• Flexible working environment.

• Generous Paid Time Off, encompassing vacation, sick leave, and paid holidays.

• Employee Assistance Program offering professional counseling, referrals, and additional services.

• Paid maternity and paternity leave.

• Pet insurance available.

• Employee discounts on phone plans, car rentals, and technology products.

• Community giveback opportunities, including paid time off for philanthropic activities.

• Necessary work equipment provided.